dc.contributor.author | Nasemann, JE | |
dc.contributor.author | Mutsch, A | |
dc.contributor.author | Wiltfang, R | |
dc.contributor.author | Klauss, V | |
dc.date.accessioned | 2013-06-18T11:50:01Z | |
dc.date.available | 2013-06-18T11:50:01Z | |
dc.date.issued | 1995 | |
dc.identifier.citation | Retina. 1995;15(2):111-6. | en |
dc.identifier.uri | http://hinari-gw.who.int/whalecomwww.ncbi.nlm.nih.gov/whalecom0/pubmed/7624597 | |
dc.identifier.uri | http://erepository.uonbi.ac.ke:8080/xmlui/handle/123456789/35570 | |
dc.description.abstract | BACKGROUND:
Retinal detachments induced by cytomegalovirus (CMV) retinitis can often be treated successfully with a buckling procedure combined with vitrectomy and silicone oil instillation, but this technique yields varying visual results.
METHODS:
To minimize operational trauma, pars plana vitrectomy and silicone oil instillation without additional buckling was performed in a series of 11 consecutive patients with acquired immune deficiency syndrome (AIDS) and CMV-retinitis-induced retinal detachment. Surgery was performed early in the course of the retinal detachment: 6 patients (55%) had an attached macula, and 7 patients (64%) had a visual acuity of 20/200 or better.
RESULTS:
After a mean follow-up period of 5 months (range, 1-9 months) 9 patients (82%) had a completely reattached retina and 9 patients (82%) had visual acuity of 20/200 or better. The macula was reattached in all patients. A localized detachment of the inferior retina was noted in 2 patients (18%), and a second operation was required in one eye. Significant cataract formation occurred in two patients during the follow-up period. Proliferative vitreoretinopathy and increased intraocular pressure were not observed.
CONCLUSION:
Early vitrectomy without additional buckling procedures is justified in patients with CMV-associated retinal detachment because it stabilizes the retinal situation without major complications and improves visual function | en |
dc.language.iso | en | en |
dc.title | Early pars plana vitrectomy without buckling procedure in cytomegalovirus retinitis-induced retinal detachment | en |
dc.type | Article | en |
local.publisher | College of health sciences,University of Nairobi | en |